DOI QR코드

DOI QR Code

Health Behavior Factors Associated with Sugar-sweetened Beverage Intake among Adolescents

한국 청소년의 가당음료 섭취 관련 건강 행동 요인 분석

  • Gu, Hyae Min (Department of Health Science, Graduate School of Chosun University) ;
  • Park, Jong (Department of Preventive Medicine, College of Medicine, Chosun University) ;
  • Ryu, So Yeon (Department of Preventive Medicine, College of Medicine, Chosun University)
  • 구혜민 (조선대학교 대학원 보건학과) ;
  • 박종 (조선대학교 의과대학 예방의학교실) ;
  • 류소연 (조선대학교 의과대학 예방의학교실)
  • Received : 2018.04.11
  • Accepted : 2018.06.12
  • Published : 2018.06.30

Abstract

Objectives: This study was conducted to measure the intake rate of SSBs (sugar sweetened beverages) and examine the relationship between health behavior factors and SSBs intake by adolescents. Methods: This study used data from the 2016 Korea Youth Risk Behavior Web-based Survey, which included 65,528 study participants. SSBs intake frequency was measured by asking respondents if they consumed soda, high-caffeinated beverages, and sugary drinks during the previous week. Type of intake was categorized into three groups according to the number of consumed drinks [SSBs (0): None; SSBs (1-2): 1 or 2 consumed; SSBs (3): 3 consumed]. Multinomial logistic regression analysis was used to examine health behaviors that affected SSBs consumption. Results: Increased SSBs intake was significantly correlated with current smoking (OR=2.4, 95% CI=1.82-3.17), current drinking (OR=2.13, 95% CI=1.82-2.51), sedentary time increase (OR=1.31, 95% CI=1.15-1.49), three days or more physical activity per week (OR=1.12, 95% CI=1.02-1.24), <8 hours sleep (OR=1.6, 95% CI=1.43-1.78), increased internet usage time (OR=1.44, 95% CI=1.25-1.65). Conclusions: Sugar-sweetened beverages intake by Korean adolescents was associated with health behaviors such as smoking, drinking, sedentary time increase, more physical activity, poor sleeping time, and increased internet use time. Based on these results, it is necessary to recognize the influence of SSBs intake and to intervene to reduce consumption of SSBs.

Keywords

References

  1. Centers for Disease Control and Prevention. The CDC guide to strategies for reducing the consumption of sugar-sweetened beverages. Atlanta: CDC; 2010.
  2. Ha KH, Joung HJ, Song YJ. Intake of dietary sugar and its influence on chronic disease in the Korean population. Food Sci Ind 2016; 49(3): 2-11.
  3. Lee HS. Sugar database compilation for commonly consumed foods. Chungbuk: Korea Health Industry Development Institute; 2015.
  4. World Health Organization. Guideline: sugars intake for adults and children. Geneba: World Health Organization; 2015.
  5. Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr 2004; 7(1a): 201-226.
  6. Meyer BD, Lee JY. The confluence of sugar, dental caries, and health policy. J Dent Res 2015; 94(10): 1338-1340. https://doi.org/10.1177/0022034515598958
  7. Malik VS, Popkin BM, Bray GA, Despres JP, Hu FB. Sugarsweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk. Circulation 2010; 121(11): 1356-1364. https://doi.org/10.1161/CIRCULATIONAHA.109.876185
  8. Funtikova AN, Subirana I, Gomez SF, Fito M, Elosua R, Benitez-Arciniega AA et al. Soft drink consumption is positively associated with increased waist circumference and 10-year incidence of abdominal obesity in Spanish adults. J Nutr 2015; 145(2): 328-334. https://doi.org/10.3945/jn.114.205229
  9. Shearrer GE, Daniels MJ, Toledo-Corral CM, Weigensberg MJ, Spruijt-Metz D, Davis JN. Associations among sugar sweetened beverage intake, visceral fat, and cortisol awakening response in minority youth. Physiol Behav 2016; 167: 188-193. https://doi.org/10.1016/j.physbeh.2016.09.020
  10. Della Torre SB, Keller A, Depeyre JL, Kruseman M. Sugarsweetened beverages and obesity risk in children and adolescents: a systematic analysis on how methodological quality may influence conclusions. J Acad Nutr Diet 2016; 116(4): 638-659. https://doi.org/10.1016/j.jand.2015.05.020
  11. Van Rompay MI, McKeown NM, Goodman E, Eliasziw M, Chomitz VR, Gordon CM et al. Sugar-sweetened beverage intake is positively associated with baseline triglyceride concentrations, and changes in intake are inversely associated with changes in HDL cholesterol over 12 months in a multi-ethnic sample of children. J Nutr 2015; 145(10): 2389-2395. https://doi.org/10.3945/jn.115.212662
  12. Zhang Z, Gillespie C, Welsh JA, Hu FB, Yang Q. Usual intake of added sugars and lipid profiles among the US adolescents: National Health and Nutrition Examination Survey, 2005-2010. J Adolesc Health 2015; 56(3): 352-359. https://doi.org/10.1016/j.jadohealth.2014.12.001
  13. Welsh JA, Sharma A, Cunningham SA, Vos MB. Consumption of added sugars and indicators of cardiovascular disease risk among US adolescents. Circulation 2011: 123(3): 249-257. https://doi.org/10.1161/CIRCULATIONAHA.110.972166
  14. Rodriguez LA, Madsen KA, Cotterman C, Lustig RH. Added sugar intake and metabolic syndrome in US adolescents: crosssectional analysis of the National Health and Nutrition Examination Survey 2005-2012. Public Health Nutr 2016; 19(13): 2424-2434. https://doi.org/10.1017/S1368980016000057
  15. Kenney EL, Gortmaker SL. United States adolescents' television, computer, videogame, smartphone, and tablet use: associations with sugary drinks, sleep, physical activity, and obesity. J Pediatr 2017; 182: 144-149. https://doi.org/10.1016/j.jpeds.2016.11.015
  16. Ranjit N, Evans MH, Byrd-Williams C, Evans AE, Hoelscher DM. Dietary and activity correlates of sugar-sweetened beverage consumption among adolescents. Pediatrics 2010; 126(4): e754-e761. https://doi.org/10.1542/peds.2010-1229
  17. Scully M, Morley B, Niven P, Crawford D, Pratt IS, Wakefield M. Factors associated with high consumption of soft drinks among Australian secondary-school students. Public Health Nutr 2017; 20(13): 2340-2348. https://doi.org/10.1017/S1368980017000118
  18. Brug J, van Stralen MM, te Velde SJ, Chinapaw MJ, De Bourdeaudhuij I, Lien N et al. Differences in weight status and energy-balance related behaviors among schoolchildren across Europe: the ENERGY-project. PLoS One 2012; 7(4): e34742. https://doi.org/10.1371/journal.pone.0034742
  19. Vereecken CA, Inchley J, Subramanian S, Hublet A, Maes L. The relative influence of individual and contextual socio-economic status on consumption of fruit and soft drinks among adolescents in Europe. Eur J Public Health 2005; 15(3): 224-232. https://doi.org/10.1093/eurpub/cki005
  20. Doo YT. Health behavior and status associated with junk food consumption in adolescents: Data from the Korea youth risk behavior web-based survey. Korean J Health Educ Promot 2016; 33(2): 15-25. https://doi.org/10.14367/kjhep.2016.33.2.15
  21. Shin EK, Doo YT. The sugars intake through processed foods and its related factors in college students. J Agric Med Community Health 2016; 41(2): 85-97. https://doi.org/10.5393/JAMCH.2016.41.2.085
  22. Yun HS. Factors affecting energy drinks consumption among adolescents. J Korean Soc Sch Health 2016; 29(3): 218-225. https://doi.org/10.15434/kssh.2016.29.3.218
  23. Ko I. Survey on energy drink intake of middle school students and recognition of the risk of high caffeine intake [master's thesis]. Kyung Hee University; 2013.
  24. Costa BM, Hayley A, Miller P. Adolescent energy drink consumption: an Australian perspective. Appetite 2016; 105: 638-642. https://doi.org/10.1016/j.appet.2016.07.001
  25. Park S, Blanck HM, Sherry B, Brener N, O'Toole T. Factors associated with sugar-sweetened beverage intake among United States high school students. J Nutr 2012; 142(2): 306-312. https://doi.org/10.3945/jn.111.148536
  26. Lee SJ, Kim HC, Kim MR. Analysis on intake of energy drinks of high school students in Gyeoungbuk region. East Asian Soc Diet Life 2014; 24(6): 924-932.
  27. Oh JW, Jang JS. Associating factors on energy drinks intake of some middle school students in Incheon area. Korean J Food Nutr 2017; 30(3): 618-626. https://doi.org/10.9799/KSFAN.2017.30.3.618
  28. Terry-McElrath YM, O'Malley PM, Johnston LD. Energy drinks, soft drinks, and substance use among US secondary school students. J Addict Med 2014; 8(1): 6. https://doi.org/10.1097/01.ADM.0000435322.07020.53
  29. Oteri A, Salvo F, Caputi AP, Calapai G. Intake of energy drinks in association with alcoholic beverages in a cohort of students of the School of Medicine of the University of Messina. Alcohol Clin Exp Res 2007; 31(10): 1677-1680. https://doi.org/10.1111/j.1530-0277.2007.00464.x
  30. Attila S, Cakir B. Energy-drink consumption in college students and associated factors. Nutrition 2011; 27(3): 316-322. https://doi.org/10.1016/j.nut.2010.02.008
  31. Shin KO, An CH, Hwang HJ, Choi KS, Chung KH. Effect of smoking and drinking habits on the nutrient intakes and health of middle and high school boy students. J Korean Soc Food Sci Nutr 2009; 38(6): 694-708 https://doi.org/10.3746/jkfn.2009.38.6.694
  32. Kim YS. Validation of a Korean version of the POSIT PRS to measure peer relations of adolescents who drink alcohol or smoke cigarettes. Ment Health Soc Work 2015; 43(1): 198-224.
  33. Ryu SH. Energy drink consumption status and associated factors among male and female high school students in Deajon area. Korean Soc Food Nutr 2016; 29(6): 899-910. https://doi.org/10.9799/ksfan.2016.29.6.899
  34. Keast RS, Swinburn BA, Sayompark D, Whitelock S, Riddell LJ. Caffeine increases sugar-sweetened beverage consumption in a free-living population: a randomised controlled trial. Br J Nutr 2015; 113(2): 366-371. https://doi.org/10.1017/S000711451400378X
  35. Kim HY, Pae MK. Lifestyle, dietary behavior and snack preference of upper-grade elementary school students in Cheongju according to the usage time of smartphones. Korean J Community Nutr 2017; 22(1): 40-52. https://doi.org/10.5720/kjcn.2017.22.1.40
  36. Gebremariam MK, Chinapaw MJ, Bringolf-Isler B, Bere E, Kovacs E, Verloigne M et al. Screen-based sedentary time: Association with soft drink consumption and the moderating effect of parental education in European children: the ENERGY study. PLoS One 2017; 12(2): e0171537. https://doi.org/10.1371/journal.pone.0171537
  37. Jo AR, Khil JM. Relationship of TV watching, internet usage and dietary habits of elementary school children in Gwangju and Jeonnam area. Korean Soc Food Cult 2010; 25(2): 160-169.
  38. Ahn SH, Lee EJ, Jeong KH. An analysis relationship between computer using habit and sleeping and eating habits in case of children. J Korean Assoc Comput Educ 2013; 16(6): 103-109.
  39. Larson N, DeWolfe J, Story M, Neumark-Sztainer D. Adolescent consumption of sports and energy drinks: linkages to higher physical activity, unhealthy beverage patterns, cigarette smoking, and screen media use. J Nutr Educ Behav 2014; 46(3): 181-187. https://doi.org/10.1016/j.jneb.2014.02.008
  40. Kumar G, Park S, Onufrak S. Perceptions about energy drinks are associated with energy drink intake among US youth. Am J Health Promot 2015; 29(4): 238-244. https://doi.org/10.4278/ajhp.130820-QUAN-435
  41. Ra JS, Yun HK, Kim HS, Ryu JL. Associated factors on energy drink consumption among Korean high school students. J Korean Soc Sch Health 2017; 30(1): 48-58. https://doi.org/10.15434/kssh.2017.30.1.48

Cited by

  1. 한국 청소년의 가당음료 섭취실태 및 영향요인 : 2017년 청소년건강행태온라인조사 이용 vol.51, pp.5, 2018, https://doi.org/10.4163/jnh.2018.51.5.465
  2. 강원지역 일부 대학생의 식행동실태 및 식생활교육 효과에 관한 연구 vol.34, pp.6, 2018, https://doi.org/10.7318/kjfc/2019.34.6.683
  3. Dietary behavior of school-going adolescents in Bhutan: Findings from the global school-based student health survey in 2016 vol.90, pp.None, 2018, https://doi.org/10.1016/j.nut.2021.111290
  4. 대구지역 성인의 가당음료 섭취와 영양지수를 활용한 식사의 질과의 관련성 vol.26, pp.5, 2021, https://doi.org/10.5720/kjcn.2021.26.5.350